Structure of dental radiology services in specialized healthcare in Brazil: a latent transition analysis.

IF 1.6 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Ciencia & saude coletiva Pub Date : 2026-09-21 eCollection Date: 2026-01-01 DOI:10.1590/1413-8123202631.13442024

Magda Lyce Rodrigues Campos, Ana Graziela Araújo Ribeiro, Nilcema Figueiredo, Paulo Savio Angeiras de Goes, Soraia de Fátima Carvalho Souza, Erika Barbara Abreu Fonseca Thomaz

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Abstract

The aim is to analyze the structure of dental radiology services (DRS) in the Brazilian Centers of Dental Specialties (acronym in Portuguese, CEO) to identify advances and challenges. This is an ecological study using data from the external evaluation cycles (c) of the Program for Improvement of Access and Quality-CEO (c1-2014 and c2-2018). Latent class transition analysis identified latent statuses (LS) for DRS structure in CEO, with 889 CEO included. The latent transition model (3 LS) was used: (LS1) better structure for DRS (n + 377); (LS2) intermediate structure for DRS (n = 379) and (LS3) worse structure for DRS (n = 133). Latent transition analysis showed that no CEO with a "better structure" worsened between 2014 and 2018; 4.3% of CEO with intermediate structure and 16.6% of the worst transitioned to the better status, while 66.3% of CEO transitioned from the "worst" status to "intermediate" structure, demonstrating a trend of improvement. It is concluded that there was an improvement in the structure of dental radiology in Brazilian CEO, except for specialized professionals, indicating the need for restructuring the human resources policy in the Brazilian public health system - SUS.

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巴西专业医疗保健中的牙科放射学服务结构：潜在转变分析。

目的是分析巴西牙科专业中心（葡萄牙语首字母缩略词，CEO）牙科放射学服务（DRS）的结构，以确定进步和挑战。这是一项生态研究，使用了改善准入和质量计划（ceo）（c1-2014和c2-2018）外部评估周期(c)的数据。潜在类别转换分析确定了CEO DRS结构的潜在状态（LS），共纳入889名CEO。采用潜在转移模型（3 LS）：（LS1） DRS结构较好（n + 377）；（LS2）为DRS的中间结构（n = 379），（LS3）为DRS的较差结构（n = 133）。潜在转型分析显示，2014年至2018年，“结构更好”的CEO没有出现恶化；中级结构CEO的比例为4.3%，最差结构CEO的比例为16.6%，66.3%的CEO从“最差”结构过渡到“中级”结构，表现出改善的趋势。结论是，除了专业人员外，巴西首席执行官的牙科放射学结构有所改善，这表明需要重组巴西公共卫生系统- SUS的人力资源政策。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Ciencia & saude coletiva PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.60

自引率

11.80%

发文量

533

审稿时长

12 weeks

期刊介绍： Ciência & Saúde Coletiva publishes debates, analyses, and results of research on a Specific Theme considered current and relevant to the field of Collective Health. Its abbreviated title is Ciênc. saúde coletiva, which should be used in bibliographies, footnotes and bibliographical references and strips.